“For me and my family, $40 is $10 less than what we pay for groceries every week,” she said. “There have been weeks, where we have only been able to spend $10 on groceries and have lived off of mac ‘n’ cheese and hot dogs.”

That money would also determine whether they could fully pay for their rent or car payments. It would also impact their healthcare, she said.

“$40 is what it costs for my medication so I can be a healthy wife, sister, daughter, mother,” Campbell said. “$40 a month, in the economy we are in right now, is everything.”

Tiffanie Young, a supervisor at a small rural hospital in Seaside, Oregon, says she saves $50 per paycheck for emergencies. The end to the payroll tax break would mean “I would probably have to stop doing that.” She said that for a lot of people $40 could help pay for groceries, gas and other necessary bills.